FAQ
QUESTIONS WE HEAR FROM CLIENTS
Q: Is there a minimum-size practice or minimum volume of billing that clients must meet to work with RRM?
A: Absolutely not – We work with practices of all sizes. We understand that each office is unique, with the correct number of physicians and staff to service its distinctive community. With our deep understanding of optometry and expertise in medical billing, RRM will create a customized solution to meet your needs.
Q: What are the financial risks to outsourcing my medical billing?
A: RRM understands that you have concerns about a company “from the outside” handling your finances. That’s why RRM works with you “from the inside.” Your office, your writeoffs, and your way. Far from imposing some other process, we design procedures and reports that will flow with – not interrupt – your current revenue stream. We become part of your team! We conduct regular messages directly through your EHR system with staff and contacts to update every step along the way to make sure all details are executed flawlessly.
Q: If I choose to outsource my medical billing, will I have access to my billing data?
A: As a client of RRM you will have your own private and secure, online resource center where you can access your own medical and vision billing information, all through the same portals you use now. We would just need access to these sources. Most portals allow up to have user accounts, each password-protected.
Q: What extra resources can RRM Billing offer me?
A: Keeping up with the latest medical/vision billing industry news is a top priority here at RRM. As an added convenience, we channel important information to you so that you always have the latest industry news at your fingertips. We provide help with current LCD and medical policies relating to medical billing services for specific payors, including Medicare. Also, take advantage of aging reports and spreadsheets being completely on a month-to-month basis at no extra cost to your office.
Q: Does RRM thoroughly review claims prior to submission, whether it is electronic or not?
A: RRM will review ALL claims prior to submission. Our billers will be looking at: adding necessary modifiers, cataract co-manage claims for surgeon information DOS etc, and billing details.
Q: Does RRM handle balance transfers?
A: RRM will transfer necessary patient portions based on insurance processing: deductibles, co-insurance, etc. RRM will provide as much detail as possible using transfer reasons added to the notes section of the claim, using your office's write-offs and transfer reasons to describe why a transfer was done and why a patient may owe you money or have a balance due back to them.
Q: What happens if a claim is denied?
A: If a claim is denied due to eligibility, RRM will look for any and all current coverage in the patient chart, family member charts, and/or insurance websites if available. If there is not any coverage to be found, your biller will transfer the balance to the patient. Your biller will exhaust all means prior to transferring the balance over to the patient. If it denies for any other reason, the biller will thoroughly review the claim and make sure the correction is made in a timely manner.
Q: I still received remits/EOBs in the mail, how would RRM post those?
A: For EOBs received in the office, you can easily scan those right into your EHR system. This would include EOB’s, checks, requests for records, denials, ETC.
